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Dr. Phil, MD, Board Certified Physician

Category: Medical

Satisfied Customers: 58356

Experience: GP in the United States

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I have had a nasal septal perforation for ages & on 3rd February

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I have had a nasal septal perforation for ages & on 3rd February 2014 I had a four hour procedure called an open septoplasty to close the nasal septal perforation. When I came round from the general anesthetic I was in agony & required regular morphine & tramadol. This was still the situation when I was discharged. I was discharged with Co-codamol & Coamoxiclav 500/125mg tablets. I was also given antibiotics in theatre.

The day after discharged I phoned my general practitioner to get some stronger painkiller for, which he prescribed me Oramorph. My nose was very swollen & my eyes were shut with the swelling, this did not subside for at least a week.

I had some kind of gel come out of my nose & so I phoned ENT & went back, thankfully it was what he had put in to prevent my nose bleeding. He cleaned my nose out. I went back on the following Monday, one week after my appointment & again he cleaned out my nose & removed my nasal splints.

I went back this Friday just gone & my nose is still very painful & swollen. They cleaned my nose & applied a yellow cream, which was both antibiotic & steroid. I have also been put back on Co-Amoxiclav 500/125mg tablets for another week. They think that I have a perforation but they cannot tell due to the inflammation & swelling, which really should not be present. They told me to use Stenemar nasal salt wash & apply naceptin in between sprays.

Today I applied Naceptin up my nose like told to do so & I noticed that my nose was bleeding. I felt my septum & I could feel air coming through the middle. On further inspection it is clear that I have a small hole. What would happen next with it being so soon after surgery? Would the hole heal on its own, could it be sown up in theatre with a minor procedure or would I need a full open septoplasty again? I have had septal buttons in the past but my body has quickly rejected them.

Thank-you for taking time to read this message & I hope to hear from you soon.

I have had a nasal septal perforation for ages & on 3rd February 2014 I had a four hour procedure called an open septoplasty to close the nasal septal perforation. When I came round from the general anesthetic I was in agony & required regular morphine & tramadol. This was still the situation when I was discharged. I was discharged with Co-codamol & Coamoxiclav 500/125mg tablets. I was also given antibiotics in theatre. The day after discharged I phoned my general practitioner to get some stronger painkiller for, which he prescribed me Oramorph. My nose was very swollen & my eyes were shut with the swelling, this did not subside for at least a week. I had some kind of gel come out of my nose & so I phoned ENT & went back, thankfully it was what he had put in to prevent my nose bleeding. He cleaned my nose out. I went back on the following Monday, one week after my appointment & again he cleaned out my nose & removed my nasal splints. I went back this Friday just gone & my nose is still very painful & swollen. They cleaned my nose & applied a yellow cream, which was both antibiotic & steroid. I have also been put back on Co-Amoxiclav 500/125mg tablets for another week. They think that I have a perforation but they cannot tell due to the inflammation & swelling, which really should not be present. They told me to use Stenemar nasal salt wash & apply naceptin in between sprays. Today I applied Naceptin up my nose like told to do so & I noticed that my nose was bleeding. I felt my septum & I could feel air coming through the middle. On further inspection it is clear that I have a small hole. What would happen next with it being so soon after surgery? Would the hole heal on its own, could it be sown up in theatre with a minor procedure or would I need a full open septoplasty again? I have had septal buttons in the past but my body has quickly rejected them

Dr. Phil, MD :

How big was the hole prior to the procedure?

Customer:

whole septum

Dr. Phil, MD :

Okay.

Customer:

No obvious cause, never took drugs, drink etc

Dr. Phil, MD :

good

Dr. Phil, MD :

I think there is a chance if it is a small hole that it can heal on its own

Dr. Phil, MD :

If it doesn't, you will need another minor procedure to close the hole

Dr. Phil, MD :

you will not need another big operation

Dr. Phil, MD :

okay Gemma-Louise?

Customer:

The last hole started off as quite small but it ended up growing stupidly big, I have had blood tests done & there is nothing untoward that is causing the hole.

Dr. Phil, MD :

did you get my reply?

Customer:

yes thank-you

Dr. Phil, MD :

your surgeon will address it quickly this time

Dr. Phil, MD :

before it gets big

Customer:

I hope so because I'm autistic & going for operations worry me

Dr. Phil, MD :

I'm very sorry about that

Dr. Phil, MD :

I suspect a minor touch up procedure will do the trick

Customer:

I was born with bilaterial congential cataracts, removed at five & a half & six months old, I have ambliopia, myopia, aphakia, nystagmus & photophobia, I developed glaucoma in my left eye at six years old & right eye at fourteen eyars old.

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